Individual provider Active NPI

Jessica Liniece Storer, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Elizabethton, TN
National Provider Identifier
1619359338
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25371 Issued in TN
Practice address
1497 W Elk Ave Ste 21
Elizabethton, TN 37643-2896
Phone
(423) 542-7420
Fax
(423) 542-7425
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5007700 NC
Family Nurse Practitioner 363LF0000X 5007700 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25371 TN
Family Nurse Practitioner 363LF0000X 25371 TN Primary

Addresses

Primary practice location

1497 W Elk Ave Ste 21
Elizabethton, TN 37643-2896

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161114000789 NC Practitioner - Nurse Practitioner 5294035655 Reassigns benefits to 5 organizations
I20260317003503 TN Practitioner - Nurse Practitioner 5294035655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avery Wellness PLLCGroup PAC ID 2264965490, 2 clinicians
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, 283 clinicians

Practice addresses (Care Compare)

137 Notalee St
Newland, NC 28657-9573
Phone (828) 397-9334

1497 W Elk Ave
Suite 21
Elizabethton, TN 37643-2872
Phone (423) 542-7420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5007700NCMDFamily Nurse Practitioner
25371TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Oct 31, 2016 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 1, 2026 Accepting new patients
Appalachian Regional Medical Associates, Inc. CurrentSince Oct 31, 2016 Accepting new patients
Clark Family Medicine PA CurrentSince Aug 18, 2024 Accepting new patients
Watauga Medical Center, Inc. CurrentSince Oct 31, 2016 Accepting new patients
Appalachian Regional Behavioral Healthcare Inc CurrentSince Sep 14, 2021 Accepting new patients
Watauga Medical Center Inc CurrentSince Oct 31, 2016 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc CurrentSince Oct 31, 2016 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 1, 2026 Accepting new patients
Avery Wellness PLLC Family CurrentSince Aug 26, 2024 Accepting new patients
Appalachian Regional Behavioral Healthcare Inc CurrentSince Sep 14, 2021 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

137 Notalee St
Newland, NC 28657
Phone (828) 397-9334

1497 W Elk Ave
Ste 21
Elizabethton, TN 37643
Phone (423) 542-7420

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

Interoperability endpoints

  • Direct secure messaging: jessicastorer@arhs.allscriptsdirect.net
  • Direct secure messaging: jstorer1013861@direct.unc.nchie.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1619359338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 W ELK AVE STE 21",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432896",
            "telephone_number": "423-542-7420",
            "fax_number": "423-542-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORER",
        "first_name": "JESSICA",
        "middle_name": "LINIECE",
        "name_prefix": "Miss",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5007700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007700",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25371",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.